<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <input id="c-id" data-rule="required" class="form-control" size="50" readonly name="row[id]" type="hidden" value="{$row.id}">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">*名称:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-member_name" data-rule="required" class="form-control" name="" readonly type="text" value="{$row.member_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">*手机号:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-agent_id" data-rule="required" class="form-control" name="" readonly type="text" value="{$row.member_mobile|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">*生日:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-birthday" class="form-control datetimepicker form-control" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[birthday]" type="text" value="{$row.birthday|datetime}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
